T由InterWalk智能手机应用程序支持的生活方式干预对增加2型糖尿卡塔尔世界杯8强波胆分析病患者体力活动的影响:平行组随机试验%A Thorsen,Ida Kær %A Yang,Yanxiang %A Valentiner,Laura Staun %A Glümer,Charlotte %A Karstoft,Kristian %A Brønd,Jan Christian %A Nielsen,Rasmus Oestergaard %A Brøns,Charlotte %A Christensen,Robin %A Nielsen,Jens Steen %A vag,Allan Arthur %A Pedersen,Bente Klarlund %A Langberg,Henning %A Ried-Larsen,Mathias %A炎症与代谢中心和体育活动研究中心，哥本哈根大学医院- Rigshospitalet, Blegdamsvej 9，哥本哈根，2100，丹麦，45 28700785,ida.kaer.thorsen@regionh.dk %K 2型糖尿病%K运动%K远程医疗%K初级卫生保健%K加速度测量%K生活质量%K腰围%K mHealth %K移动应用程序%D 2022 %7 28.9.2022 %9原始论文%J JMIR mHealth Uhealth %G英文%X背景:在2型糖尿病(T2D)卫生保健中有效和可持续地实施体育活动(PA)总体上并不成功。需要有效和现代的方法来支持PA的遵守和采用。目的:本研究的主要目的是调查在基于市政的康复中加入基于应用程序的方法(InterWalk)，与标准护理相比，在52周内提高T2D患者的中强度PA (MVPA)的有效性。方法:该研究采用平行组随机试验设计，干预52周，随后进行有效性随访(从基线开始52周)。参与者在2015年1月至2016年12月期间被招募，并随机分配(2:1)到12周(1)标准护理+ InterWalk应用程序间歇步行训练(IWT;IWT组;n=140)，或(2)标准护理+标准运动计划(StC组;n = 74)。 Following 12 weeks, the IWT group was encouraged to maintain InterWalk app–based IWT (3 times per week for 30-60 minutes) and the StC group was encouraged to maintain exercise without structured support. Moreover, half of the IWT group (IWTsupport group, n=54) received additional motivational support following the 12-week program until 52-week follow-up. The primary outcome was change in objectively measured MVPA time (minutes/day) from baseline to 52-week follow-up. Key secondary outcomes included changes in self-rated physical and mental health–related quality of life (HRQoL), physical fitness, weight, and waist circumference. Results: Participants had a mean age of 59.6 (SD 10.6) years and 128/214 (59.8%) were men. No changes in MVPA time were observed from baseline to 52-week follow-up in the StC and IWT groups (least squares means [95% CI] 0.6 [–4.6 to 5.8] and –0.2 [–3.8 to 3.3], respectively) and no differences were observed between the groups (mean difference [95% CI] –0.8 [–8.1 to 6.4] minutes/day; P=.82). Physical HRQoL increased by a mean of 4.3 (95% CI 1.8 to 6.9) 12-item Short-Form Health Survey (SF-12) points more in the IWT group compared with the StC group (Benjamini-Hochberg adjusted P=.007) and waist circumference apparently decreased a mean of –2.3 (95% CI –4.1 to –0.4) cm more in the IWT group compared with the StC group but with a Benjamini-Hochberg adjusted P=.06. No between-group differences were observed among the remaining key secondary outcomes. Conclusions: Among individuals with T2D referred to municipality-based lifestyle programs, randomization to InterWalk app–based IWT did not increase objectively measured MVPA time over 52 weeks compared with standard health care, although apparent benefits were observed for physical HRQoL. Trial Registration: ClinicalTrials.gov NCT02341690; https://clinicaltrials.gov/ct2/show/NCT02341690 %M 36170002 %R 10.2196/30602 %U https://mhealth.www.mybigtv.com/2022/9/e30602 %U https://doi.org/10.2196/30602 %U http://www.ncbi.nlm.nih.gov/pubmed/36170002